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Diabetes Open Meeting Notes

Date & Time: 20th July 2016 12pm – 3pm

Venue: Greenside Community Centre,

Theme: Diabetes and BME Communities

Nafsika Thalassis, Director of the BME Health Forum, welcomed all to the meeting and introduced the first item.

Item 1: Anita Demetriou, Peadiatric registrar and Mae Said, Specialist

Peadiatric Diabetes Dietician will talk about children with Diabetes and the support they need.

[Download power point slides at this LINK]

I am a paediatric diabetes dietician and I work on the Children’s Diabetes team. I have experience with families and what they need.

With children more than 95% is Type 1 diabetes.

Early signs - common tell-tale features:

  • start drinking more
  • pass more urine
  • weight loss
  • lethargic
  • thrush or skin infection

OR can present very unwell

  • Vomiting
  • Drowsy

Type 1 diabetes is not a lifestyle disease affecting overweight children. It is inherited.

Those with a family history of thyroid disease or coeliac are more at risk.

What does it mean for families?

  • Balance between maintaining normal life and activities and achieving good control of blood sugars
  • Night-time insulin and meal-time insulin
  • Normal healthy diet
  • Nothing strictly “off-limits”
  • Training in school, school trips etc

With children it is a disease of the family and parents play a pivotal role.

On first getting diagnosis:

  • They stay in hospital for several days
  • Learn what it means to have diabetes
  • Blood sugar tests can be distressing for children and injections for life can be daunting and scary

It is a fact that a year after a child’s diagnosis parents have shown signs of PTSD (post-traumatic stress disorder).

Adolescent period

There are many changes already to deal with but with diabetes it is more complicated. When the cihild is little the parents take control. The very last thing you want to deal with when you are a teenager is diabetes – daily blood tests – daily injections.

The challenge is trying to maintain a normal life and keeping sugars normal. We try and tell children that nothing is off limits – nothing is forbidden. They just need to know how to manage with their blood sugars.

School – day trips and overnight trips: Some parents are wary and don’t want to send their children to school trips. We try and work with schools to allow the children to go on these trips.

Comment: Surely being excluded this way can cause depression in a child.

Response: There is a big variety in how parents deal with children with diabetes. We have a psychologist on our team. We offer support via our psychotherapy service for those families where the parents are too controlling and scared. If families experience any issues we have a 24 hour line to offer support and advice.

Type 2 diabetes in children

Type 2 diabetes in children is uncommon. It is lifestyle related but can also be inherited. The children with type 2 diabetes are almost always overweight and there is currently a rise in obesity in children.

The risk of Type 2 is higher in BME communities particularly Black Caribbean.

It is rising in an epidemic fashion. Diabetes in pregnancy is also on the rise - gestational diabetes and risk for child of diabetic pregnant women is higher.

Diabetes shows up differently with Type 2 Diabetes.

  • Sometimes no symptoms at all
  • Thirst, passing more urine, tiredness, lethargy
  • Sometimes picked up by a healthcare professional by chance or where there is a strong family history – shows up in blood test.

Q&A:

Question: Would diabetes in a child be picked up in other tests at all?

Answer: It would either be picked up because of symptoms or doctor suspects it – OR – if there is a family history might lead to being offered blood sugar tests.

Question: I have read about a cure for diabetes – can you tell us anything about this?

Answer: No – I would say we are decades away from a cure for diabetes.

Question: Can you tell us more about the risk of gestational diabetes and child contracting it.

Answer: There is some evidence that the more serious the diabetes at pregnancy the higher the risk for the baby.

Question: Is there scope for educating the schools to educate all children so the diabetes children don’t feel so different – separate.

Answer: Agree – would be beneficial. It is not however on the curriculum. However, if there is a problem with peers we do go in opportunistically to speak to a class to help the others understand.

Question: How about training the first aiders ie. For school trips?

Answer: On school trips there is always 1 named person responsible for the child with diabetes.

Question: If a parent is diabetic are the children automatically tested?

Answer: It is not a policy to automatically check them BUT if there is a family history then yes.

Item 2: Tony Willis, GP and Clinical Lead for Diabetes across the CWHHE CCG Collaborative, will talk about the Diabetes Prevention Programme and changes to the delivery of services

I have been a GP for 16 years and have worked in diabetes care for just under that. I work with the CCGs as a Diabetic Lead.

We have started to try and make differences to how services are delivered and how services work together.

  • Overview
  • Baseline
  • What we’ve done
  • What we’ve achieved
  • Next steps

In 2014 there was a wide variation – some great experiences and some not so great. There has being very little consistency in diabetes care. Diabetes care does not always join up.

Structured education is a big part of diabetes care – people go on courses to understand how to care for themselves.

Old style – ‘You must do this!’

This style must change. We want people to be more involved with their own care. It is better for them to want to lose weight rather than feel they are obeying orders of ‘You must lose weight!’

We don’t have a good idea of the numbers of people who are at high risk of diabetes – we are trying to get better knowledge on this.

Despite Quality and Outcomes Framework (QOF – which is about how GPs get paid) – still, there is a huge variance on how practices deliver the care.

We have put together a wish list of things we are trying to do.

  1. 9 key care processes- each patient should receive 9 key care processes as a diabetic patient. eg. regular blood sugar tests etc
  2. Care planning – WITH patient. May be ‘I want to be well enough to walk to the shops’. Encouraging the GP to discuss with the patient more – rather than order them what to do,
  3. Improve the amount of structured education available.

A lot of different people were involved and divided into work streams. We wanted to make sure that patients are a big part of the process of their own care.

Care planning process

A discussion followed by a printed out plan of what they want to achieve in the year.

Over the year we have been running this programme we have already seen changes and rises in numbers of patients receiving the key care processes required for them and a reduction in severe outcomes to diabetic life such as sight loss or heart disease.

Item 3: Helen Booth, ICS Health & Wellbeing talked about the Diabetes Prevention Programme

[Download link to presentation]

ICS (Independent Clinical services) is a health and wellbeing organisation who have developed a programme to prevent type 2 diabetes.

Diabetes Prevention Programme – for people at risk (Pre-diabetes).

Prevalence of Diabetes:

It is estimated that about 5 million people in UK are at risk of developing Type 2 Diabetes. It is estimated that by 2024 1 in 10 people could contracted it. Type 2 diabetes accounts for 90% of all diabetes in this country.

Our ambition is that 100,000 people will be supported by this programme by 2020.

Eligibility:

In order to be eligible you must be:

  • Over 18
  • Registered with a GP in Hounslow, Ealing, Westminster, Kensington & Chelsea or Hammersmith & Fulham
  • Referral should be sent from GP or NHS health check provider.

The main bench mark for referring people is their blood sugar level.

Programme content:

The programme is a mixture of support and information including the following:

  • Nutrition for health
  • How to incorporate physical activity into your lifestyle
  • How to solve problems that can get in the way
    of healthy changes
  • How to develop the skills and knowledge to maintain these changes after completing the programme
  • Facilitation by a local Health &Wellbeing Coach

We will work with you to understand what are your barriers and help you find your own achievable goals.

Programme commitment:

Commitment is very important in the programme – we need people to attend the majority of the programme.

  • The first session is a 121 assessment to assess general wellbeing and lifestyle.
  • Then there are 10 weekly group sessions including healthy lifestyle and physical activities – sessions are 2 hours long.
  • Then there are 4 monthly sessions
  • Three 1:1 progress sessions to see how well you have sustained lifestyle changes
  • Regular weigh ins where applicable, and blood sugar level tests

NEXT STEPS

We are in the planning process right now. Referrals will be accepted from mid-August and group delivery will begin in mid-September.

Q&A

Question: Regarding Care Plans – if a diabetic patient does not have a care plan should the patient request one – or can they expect the GP to act proactively to make sure they get one.

Answer: GP should be doing it pro-actively and doing it should fit in within the 10 minute appointment time. I myself would make sure that I review any care plans every 3 – 6 months.

Question: Have you considered how you could bring young people into the programme with Type 1 Diabetes?

Answer: Type 1 Diabetes is a separate commissioning stream so it is not included in this programme.

Comment: There is a difficulty going from children’s diabetes care to the adult diabetes care- would be good to find ways to make the transition easier.

Question: Very pleased to hear about this prevention programme – we used to run the X-pert Patient Diabetes programme at The Abbey Centre where we worked with a Bangladeshi group – would love to link up with this programme.

Item 4: Phayza Fudlalla from the Abbey Centre will talk about the Diabetes mentoring programme

[Download the power point slides at this LINK]

I have been involved with Health Promotion for 10 years – also as a mentor and has a Masters degree in nutrition.

I work in a community setting and deliver weekly diabetes support clinics in the Victoria Medical Centre since 2013/14.

The Abbey Community Association Ltd has existed since 1948 with its vision of healthy and cohesive communities in South Westminster and mission to bring local people and organizations together to address local community needs in south Westminster by providing activities and services to community members from all different backgrounds and different ages and facilitating the South Westminster Action Network and Westminster Rough Sleepers Providers Network.

Diabetes – The size of the problem:

3.2 million people are diagnosed in the UK.

Type 2 diabetes is when your body produce insulin or insulin produced does not work properly.

Background to Mentoring programme

I was a carer for my husband with Diabetes and this inspired me to learn and give advice on health and nutrition to diabetics.

In 2013 we moved the programme to the Victoria Medical Centre diabetic clinic.

We ran a health promotion programme about symptoms and what to look out for.

We ran 2 X-Pod Diabetes prevention courses in partnership with CLCH

Each course was attended by 10 people.

The courses included women with gestational diabetes, Type 2 diabetes and hereditary diabetes.

The X-Pod diabetes programme had very positive feedback. It included peer support. At the Abbey Centre people followed up the course by joining other groups like the Carers Support group, Physical activity sessions and social groups.

We offered 1:1 Mentoring sessions for 56 participants.

Surprisingly many do not even know what carbohydrate is. We ask a range of questions around their lifestyle and help them find ways to make changes according to what is possible for them. We also explain and help them to understand their medication.

  • We talk about a range of issues and try and help them holistically i.e. debt, emotional problems, smoking.
  • We encourage patients to ask their doctor about readings Eg. what is BMI – What is good cholesterol and bad cholesterol?
  • Patients I see are mostly Arabic speaking and Bangladeshi and Black African.
  • Sessions are up to 40 mins long
  • We encourage patients to be empowered to be proactive about their care.

At the Victoria Medical Centre we give 1 taster session with the option to continue if they want.

Case Study (in brief)

An African lady with Type 2 Diabetes. She is divorced with no children. The GP informed her she will have to increase her medication size if she did not make changes to her lifestyle. When she met with me she was crying as she did not want to take medication and was scared of injections.

I encouraged her to join several physical activities at The Abbey Centre, art classes, ESOL and 1:1 emotional support sessions. After some time her glucose levels improved and she lost weight.

She said in her own words: ‘I feel much better now after involved in physical activity, studying ESOL/IT and attending the social groups and events at the Abbey Centre. My sleeping has improved so much as well’

I see people who are young, in their 20s who are very thin and have type 2 diabetes – this shows you that there are many factors that can contribute to getting Diabetes. It is important that we work hard at raising awareness about Diabetes for those at high risk. We need to encourage people to do health checks who are risk. Some people only find out when they have already got a diabetes complication – there are some patients that I see have had diabetes for 10 years and have been undiagnosed.

Q&A

Question: Do you accept people who are outside of South Westminster?

Answer: No – just South Westminster for the moment.

Question: Can anyone volunteer to be a Diabetes Mentor?

Answer: No – Diabetes mentors must have health promotion qualifications.

Item 5: Filsan Ali from Midaye Somali Development Network will talk about the Diabetes Mentoring service and about supporting the Somali community with Diabetes

[Download the power point slides at this LINK]

Midaye is a Somali word that means Unity/ Unification/ Union

It is the creation of a united people, ideas, mission and vision focused on making a difference.

Our underlying purpose is to integrate and empower the community. The organisation was set up in 2002 by a group local community members and our aim is to improve the quality of life for disadvantaged, isolated and marginalised Ethnic minority communities.

We have delivered our Diabetes Mentoring programme in the Barlby surgery since 2013.

The diabetes mentors receive a 3 month training to be Diabetes mentors. The Diabetes 1:1 session lasts 30 – 45 mins and each patient receives up to 6 – 8 sessions.

We recruited Arabic and Somali speaking mentors however increasingly we received much wider range of ethnicities coming in to the service. Now the project has opened up support all ethnicities.

In mentoring sessions we allow patients to bring in partners as we feel that it helps carers to help their diabetic partner.

Q&A

Question: How many languages do your mentors speak?

Answer: Arabic, French and Somali – but we will help people from all ethnicities.

Question: Do you help people from all London boroughs?

Answer: Only from the Tri-borough (Westminster, K&C and Hammersmith & Fulham)

Workshop: "What GOOD would look like?" (participation of attendees)

Table 1:

  • Early intervention is important. People do not usually know they have type 2 diabetes so doctors should be more informative to patients.
  • I have been a diabetic for 30 years and feel as though I am not getting the attention that newly diagnosed people get.
  • Doctors should revise their knowledge on blood pressure
  • “Borderline” cases do not always get referred to diabetic clinics.
  • Services do not heed patients’ request for medication to be reviewed
  • There seems to be a lot of people with Diabetes and thyroid problems – is there a link? There may be health issues that prevent weight loss and doing activities. What advice can be given on this?
  • Continuous medical training should be given to update knowledge – for doctors but also to patients.

 Table 2:

  • Time of appointments could be longer
  • Vicinity of services – could be more convenient
  • IT system integration
  • Communication between GPs, mentors and specialists would be good
  • More community Diabetes Centres (specialist services)
  • Make the sugar blood test routine

Table 3:

Good service factors:

  • Listen to and use patients who are in peer groups
  • Easy to find venues at the right time
  • Tests at venues
  • Patients can need help with 2+ ailments
  • Not everyone is IT literate – should be help with internet available – web content should be streamlined

Table 4: Peer support

  • Education of the workforce – GP professionals
  • Client feedback
  • GPs to be more precise about side effects of diabetes complications
  • Educating and raising awareness – preventative education
  • Training
  • Linking in with the community
  • Diabetes education as part of the curriculum

Item 6: Emma Playford engagement lead from Central London CCG will talk about changes to the 111 service and ask for attendees to give feedback

Andrew Pike spoke instead of Emma Playford at the meeting.

[Download power point slides at this LINK]

Vision for NHS 11 and Urgent Care.

The project is about looking at what the NHS 11 service does and how it links in with other services. We are talking to people to find out what is missing and what can be added.

We are trying to get a service that is less confusing, quicker and easier to use and is more joined up.

Engagement so far:

Access:

  • One call wherever possible
  • Only tell my story once
  • Direct transfer to pharmacist or dentist

Technology:

  • With your consent, everyone has the right information for your care
  • Seamless transfer from one service to another – no repeating of my story, no waiting
  • Cloud based computing

Workforce:

  • Direct referral to the right clinician or healthcare professional

Communication:

  • Wide scale education and communication campaign

Service Integration

  • Joined up NHS 111, out of hours and urgent care
  • Funding allocated where it is needed to support new services.

What do we need to do to help facilitate use of service to vulnerable groups (learning difficulties, hearing impaired and those with language barriers).

How will it work locally?

What we’re doing:

People with hearing impairment, learning disabilities or who need a translator

  • Translator must be available within 15 minutes.
  • Staff trained to handle calls properly from people with hearing impairment.
  • National deaf service for NHS 111 http://www.interpreternow.co.uk/nhs111/
  • We’ll book an appointment or transfer to the right person
  • We’ll review the service play back calls etc. are built into the specification
  • We want your help to improve – patient reference group and further engagement will take place
  • Accessible Information Standard – new contractual requirement for all NHS providers http://www.brentaccessibleinformation.nhs.uk

Vision for Urgent Care

A simplified diagram of how system will work [image taken from power point slide]

Vision_for.png

What will the clinical hub do?

  • Warm transfers and assessment call backs
  • Localised Clinical Assessment
  • Self-care advice
  • Appointments at Walk in Centres
  • Appointments to Urgent Care Centres
  • Appointments at the GP practice
  • Referrals and tracking to single or multi providers
  • Integration with community services
  • Out of Hours Home Visiting

Q&A

Question/ comment: Regarding interpreters – we have known cases where a person has asked for an interpreter and been told to ask if there is someone else in the family to interpret OR told that they can understand the patient perfectly and there is no need.

Answer: Yes, agreed – this should not happen. Interpreters should be offered on request.

Question/ comment: A the moment when calling 111 you speak to a trained advisor who is supported by a health professional.

Question/ comment: What is the difference between what is happening now and the new proposed service?

At the moment there is a triage and a set of questions are automatically asked before you are then passed on to speak to a health professional

Comment: I had a very bad experience using 111 because while speaking to the initial advisor who went down a long checklist with me I was eventually given conflicting information that led me to make my own way to A&E and an ambulance arrived after I had left and broke my door down to get in. My feeling is that operators on 999 and 111 are not sufficiently trained.

Comment: Most people use mobile phones and network coverage is not always great which makes using 111 not a problem.


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» New Patient Participation Group Best Practice Guide!

Healthwatch Central West London have a new Patient Participation Group Best Practice Guide! Thinking about starting up a PPG, joining a group or getting more members for your PPG? Then have a read of this guide! It has top tips on recruiting patients, the roles and responsibilities of a PPG, and the support...

» September 2015 Quarterly Meeting Notes

THEME: DEMENTIA - This was a great event to attend to find out more about how services for people with Dementia have been planned and delivered and question the people in charge of doing so. It was also a great opportunity to find out more about how to support people with Dementia and what services are available in the NHS and the third sector including some specialist services for BME communities.

» Peer Support Network - New Monthly Newsletter (November Issue)

Kensington and Chelsea Mind’s Peer Support Network have a new monthly newsletter, called #PeerTalk. November is the first issue...

» Volunteering opportunities at the Barlby Surgery - Practice Champions

The Barlby Surgery is currently recruiting volunteers (Practice Champions) from Barlby Surgery and the local community. Practice Champions are individuals with the local community that volunteer to develop support groups and health education events for children. These groups will support children and their...

» New Central and North West London NHS Foundation Trust (CNWL) Single Point of Access

The new CNWL Single Point of Access was launched on 3rd November 2015. This is a one-stop entry point into working age adult secondary community mental health services for patients living in the North West London boroughs of Brent, Harrow, Hillingdon, K&C, and Westminster...

» Why do men engage less with primary health care? - [from People First Website]

On People First: Why do men engage less with primary health care? Men, on average, visit the GP 20% less than women, and younger men visit the GP half as often as younger women. Men are generally poor users of primary care. They are less likely to access other health services such as dentists...

» Volunteer Prison and Immigration Removal Centre Monitors

About the role: Inside every prison and immigration removal centre there is an Independent Monitoring Board (IMB) - a group of ordinary members of the public doing an extraordinary job.IMB volunteers spend a few days a month independently monitoring day-to-day life in their local prison...

» SMART Projects Stop Smoking Service

SMART Projects is launching a Stop Smoking Service, funded by the Kensington & Chelsea Social Council and in partnership with the Kick-it Stop Smoking Service. SMART will be providing Stop smoking advice on a one to one basis and workshops for people who would like to find out more...

» Maternity Project - Heathwatch CWL + Project management group Meeting on 28th Oct

Healthwatch Central West London have begun a research project on maternity and associated services in our three boroughs (Kensington and Chelsea, Westminster and Hammersmith and Fulham). We want to assess the quality of the experience of women who have delivered and used inpatients,outpatients...

» Al-Aman (DVIP) Arabic Speaking service

DVIP’s Al-aman service has continued to receive funding from London Councils to support women from Arabic speaking communities who have been affected by gender based violence, forced marriage, female genital mutilation and honour based violence...

» Different Voices’ Directory of Services in Westminster and Kensington & Chelsea

A directory of services was produced by the Different Voices Group at The Advocacy Project. It is a user involvement group that focuses on improving inpatient services and tackling the stigma attached to mental health. All the recommendations in the booklet are based on the service users’ own experiences of having used those services...

» Westminster Time Credits - off to a strong start!

Westminster Time Credits Newsletter (October 2015).Since our update announcing that organisations can now sign up to the Westminster Time Credits network we have been super busy here at Westminster Time Credits. Our main focus has been to get out and about to spread the news...

» Flu Vaccination information letter from Public Health (Three boroughs)

Flu season is here again. For most people flu is an unpleasant illness from which they recover in two to seven days. However for children under 6 months, those over 65 years, those with underlying medical conditions and pregnant women, the risk of serious complications is higher. These complications...

» Royal Trinity Hospice launches new dementia service in Kensington and Chelsea

Royal Trinity Hospice has launched a new service to support people with dementia and their carers living in Kensington and Chelsea, tackling recognised inequalities in access to palliative and end of life care.Funded by West London CCG, Trinity’s specialist Community Dementia Nurse will support people...

» Conversational English for beginners (for over 50s)

Brush up on your spoken, written and grammatical English to become a more confident speaker! For people aged 50 and over. TUESDAYs - 10.00am – 12.00pm. £3.00 per class @ New Horizons, Guinness Trust Estate, Cadogan Street, London, SW3 2PF...

» Healthier Homes Project

The Healthier Homes Project is a Public Health funded project to assist in reducing hospital admissions, GP visits and winter deaths caused by residents living in homes that are too cold, damp or are in dangerous conditions that put their health at risk.The project works as a referral service...

» MEWSO Monthly Newsletter-September 2015

The Middle Eastern Women & Society Organisation (MEWSO) is pleased to bring you our second monthly newsletter. MEWSO is a women's run organisation dedicated to providing mental and emotional support to Middle Eastern and North African women who have faced/witnessed domestic violence...

» ANGELOU Referrals

On the 1st July ADVANCE in conjunction with eight other organisations launched a shared service across Hammersmith & Fulham, Kensington & Chelsea and Westminster supporting women and girls who are experiencing or have experienced violence and abuse this partnership is called Angelou...

» MEND Healthy Lifestyle Programmes for Children and Parents

Mytime Active has been commissioned by the London Borough of Hammersmith and Fulham, the Royal Borough of Kensington and Chelsea and Westminster City Council to offer a range of free healthy lifestyle services across the three boroughs. Our Mind, Exercise, Nutrition…Do It! (MEND)...

» Westminster Time Credits

Spice, the social enterprise that has developed Time Credits -a way of recognising and celebrating the time people give to their community and to encourage more new people to get involved in volunteering – are setting up a local network in Westminster, with a specific focus on South Westminster…

» Medical Justice Press Release: HM Inspector of Prisons 2015 report on Yarl’s Wood - 12/08/15

HM Inspector Prisons 2015 insection of Yarl's Wood Immigration Removal Centre -12th August 2015. “The severe decline in healthcare documented by HM Inspector of Prisons demonstrates that the Home Office and its private contractors have been incapable of learning lessons. The endemic harmful...

» African and African-Caribbean Cancer Support Group (at The Lake Foundation)

The Lake Foundation is a Croydon-based charity that aims to improve the health and well-being of the African and African-Caribbean Community. We run a monthly African and African-Caribbean Cancer Support Group and the aim of the group is to provide anyone who has been touched by cancer with support...

» Victoria Medical Centre in Westminster Rated 'Outstanding' by CQC

The Victoria Medical Centre – the oldest practice in Westminster - was rated ‘outstanding’ in the Care Quality Commission (CQC)’s latest round of reports. The Victoria Medical Centre offers General Practices (GP) services, and specialises in diagnostic and screening procedure, family planning services...

» IRANIAN ASSOCIATION - Advice and Education Centre Services and Classes

General Information and Advice; English Language Classes; English Language Exam; Information Technology Course; Counselling and Group Therapy; Exercise and Health Awareness Workshops; Tests For Citizenship and Settlement; Immigration and Citizenship Advice & Arts and Cultural Activities... ;

» June 2015 Quarterly Meeting notes

THEME: SUPPORTING PEOPLE APPROACHING THE END OF THEIR LIVES. This meeting was about how to best support people who are approaching the end of their lives. Public health are conducting a Joint Strategic Needs Assessment (JSNA) about end of life care and would like to hear from you about how you feel services work currently and any gaps that there might be...

» EWEG's Mental Wellbeing Project (support in Amharic, French, Arabic languages)

EWEG (Ethiopian Women’s Empowerment Group) will provide a safe space for the clients to talk with a trained volunteers on one to one basis. The safe space will give the clients privacy to express their feelings in their own languages.If you are working with BME Groups this might be for you...

» March 2015 Quarterly Meeting notes

THEME: WOMEN AND CHILDREN'S HEALTH & WELLBEING

» Solace Women’s Aid Ascent Counselling Service (also in other languages)

Solace Women’s aid is an accomplished charitable organisation providing a range of support services to women and children. Our specialist domestic and sexual violence counselling service provides 16 free counselling sessions which includes an assessment, for women and girls from 14 year old...

» IAPT Courses and Workshops

IAPT (Improving Access to Psychological Therapies) are running one off workshops and 6 weeks courses on a variety of subjects from confidence building, Improving sleep, procrastination, assertiveness and much more. People can refer themselves and organisations can also arrange for sessions to be delivered at their site...

» Health Trainer Service: Hammersmith & Fulham

Health Trainers provide support designed to improve wellbeing and combat the causes of chronic lifestyle-related diseases. Health Trainers are local individuals trained to identify and make contact with others to help improve lifestyle choices such as healthy eating, weight loss, increasing physical activity...

» Be FIT For Work - Dalgarno Community Champions can help

Are you looking to upskill yourself back into work or looking for experience to start work? Dalgarno Community Champions can help you! Here’s how - Supporting Opportunities: Maths and English classes; IT support; CV help; References for future employment; Work placement opportunities in Health...

» Access to Health New Project: Information and Referral form

‘Access to Health’ is a new project which aims to support homeless and vulnerably housed pregnant women and families with a child/children under 5 years old in Westminster or temporarily housed outside the borough...

» Services

» Activities/Courses

» COFFEE MORNINGS with SW1 Community Organisers every Friday 10.30 - 12.00

Share your ideas, chat and catch up on local issues. Open to all SW1 residents. VENUE: The Hinsley Room, Morpeth Terrace. London SW1P 1EW. Time: Every Friday 10.30am - 12pm...

» Exercise for Health and Wellbeing in 2015 with SW1CO (Fridays am)

EXERCISE FOR HEALTH, WELLBEING to increase mobility, balance and sense of well-being. Open to all SW1 residents. VENUE: Hinsley Room, Morpeth Terrace, SW1 TIME: 9.30 – 10.30 AM. Every Friday - £2 donation...

» December 2014 Quarterly Meeting notes

THEME: WHOLE SYSTEMS INTEGRATED CARE

» September 2014 Quarterly Meeting notes

THEME: FGM

» New Young Women's Domestic Violence project for Arabic speakers

Al-Hasaniya Moroccan's Women's Centre have a new project for young women of Arabic backgrounds who have or are experiencing domestic violence. The service is aimed at young women aged between 16 and 25 years old who live in London...

» June 2014 Quarterly Meeting notes

THEME: MENTAL WELLBEING

» Counselling Services for female survivors of domestic and sexual abuse (Westminster and K&C)

Please be aware of the free Therapeutic Services provided by Solace Women’s Aid in Kensington & Chelsea and Westminster. These include:1to1 counselling for female survivors of domestic violence age 14 + (Ascent). 1to1 counselling for female survivors of sexual violence including child sexual abuse (aged 14+)...

» New Domestic Abuse service for Arabic speaking Women

Al-Hasaniya Moroccan Women’s Centre has recently been successful in securing funding for a new project to support young, vulnerable women of Arabic speaking backgrounds who are or have experienced domestic abuse. Our service is aimed at young women aged between 16 and 25 years old...

» Kick-It FREE Stop Smoking Support service for local communities

The Free Stop Smoking Support sessions include specialist behavioural support by certified Stop Smoking Practitioners, which will improve the client’s motivation as well as help building up capacities and strategies to stay smoke-free...

» Westminster Connect - Peer support group

The peer support is for people aged 18 to 60 who have a physical disability, hearing or sight impairments and those with long term health conditions. Westminster Connect also co-ordinates peer support for Deaf people...

» April 2014 Quarterly Meeting notes

THEME: Unscheduled care - the utilisation of A and E and Urgent care services by BME communities

» Housing and resettlement, Welfare benefits and debt advice (Westminster)

The Bayswater Families Centre, in conjunction with CAB, Homestart and Z2K are holding Drop-in Advice sessions covering: Housing Advice and Assistance; Resettlement Advice and Assistance; Welfare benefits Advice and Assistance; Debt Advice and Assistance...

» Free counselling sessions in Spanish & English at the Migrants Resource Centre

WHY COUNSELLING? There are times in our lives when we experience distressing events and times; when we can find ourselves overwhelmed with feelings that seem to have no obvious explanation.When this happens, counselling can be very helpful...

» Zumba at Portobello Green Fitness Club

Fridays 2 - 3pm, Portobello Green Fitness Club. Price £2.10. It's fun, It's fitness, It's ZUMBA!...

» IKWRO - Self Confidence Support Group for Women

Iranian and Kurdish Women’s Rights Organisation (IKWRO) is registered charity that provides confidential support, advice and advocacy and outreach to women and girls of Middle Eastern origin. We work to help women and girls who are facing gender based violence...

» November 2013 Quarterly Meeting notes

THEME: URGENT CARE – ‘IS THE NHS MEETING THE NEEDS OF BME COMMUNITIES?’

» Employability Services in Westminster (as of 20/01/2014)

In light of all the changes in services in Westminster, I have recently completed a piece of work which is a document listing current employability services available at present for families...

» A Moveable Creche service from the Abbey Centre (South Westminster)

A Moveable Crèche provides an excellent value and flexible childcare service for clients. Sessions are delivered in a venue of your choice, for as many children as the size of the venue permits...

» Drinkwatchers Group EVERY Wednesday

The Horn of Africa Health and Wellbeing Project runs a WEEKLY Drinkwatchers support group on Wednesdays - sessions are free and cover the physical, social and psychological effects of alcohol and support available...

» September 2013 Quarterly Meeting notes

Theme: 'HAVE YOUR SAY ON IMPROVING THE QUALITY OF SERVICES AND THE PATIENT EXPERIENCE'

» K&C Mind HARP Group (Hoarding, Acquiring Recovery Planning)

The HARP Support Group is a new, monthly, facilitated self-help programme, for people who are motivated to develop strategies and actions to manage and modify compulsive hoarding behaviour...

» British Red Cross Refugees and Befriending Project

The British Red Cross runs four 'Refugees and Befriending Projects' (R'n'B) for young unaccompanied refugees and asylum seekers aged 14-21. Our peer-led befriending projects are facilitated by peer-befrienders and adult volunteers...

» December 2012 Quarterly Meeting notes

THEME: IMPROVING OUR MENTAL WELLBEING

» September 2012 Quarterly Meeting notes

THEME: IMPROVING NHS COMMUNITY SERVICES – KEEPING PEOPLE OUT OF HOSPITAL

» June 2012 Quarterly Meeting notes

» Community Champions Coffee Mornings - Diabetes (starting Wednesday 4th September)

Are you worried about diabetes? Or want to know more about it. Come to our health themed coffee morning. Where alongside your tea or coffee you can engage in health issues which affect you or others around you...

» Active for Life - Opportunities to Keep Fit In the Royal Borough of Kensington and Chelsea

The Royal Borough of Kensington and Chelsea (RBKC) Leisure Services’ Sports Development Team provides a wide variety of sport and physical activity opportunities for RBKC residents at venues across the borough including targeted sessions for specific groups...

» July 2013 Quarterly Meeting notes

» Free Days Out for Carers in Kensington and Chelsea

We also offer free training courses, complimentary therapies, other free events, talks and social meet-ups - booking essential...

» Storytelling Women’s Group at the Refugee Therapy Centre.(every Wednesday)

Come along and join our friendly Storytelling Women’s Group at the Refugee Therapy Centre.We welcome women with all levels of English. It’s a great way to get to know new people and practise your language skills.We meet every Wednesday from 11:00am—14:00pm...

» March 2011 Quarterly Meeting notes

» June 2011 Quarterly Meeting notes

» September 2011 Quarterly Meeting notes

» December 2011 Quarterly Meeting notes

» March 2012 Quarterly Meeting notes

Date & Time: 7th March 12, 10am – 1pm, Venue: The Abbey Centre, 34 Great Smith Street, SW1P 3BU, Theme: Men’s Health & Wellbeing

» March 2013 Quarterly Meeting notes

Theme: Women’s Health & Wellbeing Date: 6th March 2013 Venue: Lighthouse West Lodon

» Domestic abuse and Sexual violence Information about Helpline services in your area

Please see below some information about domestic and sexual violence helplines that are funded by London Councils and available in your area...

» Psychological Therapies in languages other than English

Please note that all NHS psychological therapy services are obliged to provide an interpreter for people who are not fluent English speakers. This includes counselling services offered by GP practices as well as IAPT or other mental health services offered by CNWL or CLCH...

» Personalisation Project at the Chinese Mental Health Association

The Befriending Service at the Chinese Mental Health Association is running a pilot Personalisation project for ethnic Chinese sufferers of mental health. Personalisation is about giving people with needs, choice and control over their care, with support and resources provided by their local authority...

» HELP Counselling - low cost short & long term counselling service

Based in Portobello Road, Notting Hill Gate, London, HELP Counselling Centre provides short & long-term counselling based on an affordable, sliding scale for people who need support in negotiating a crisis as well as for those who wish to consider their life patterns and choices...

» Rape Crisis London

Rape Crisis London has four centres that offer help, information and support to women and girls who have experienced sexual violence of any kind, at any time of their lives...

» Fit-for-Life - Free 8 week weight loss programme

This FREE eight week group behaviour change programme is designed to help the patients to lose weight, get fitter and make more informed choices about your diet and lifestyle...

» Deaf Hope Services

Deaf Hope is a new specialist domestic abuse service for Deaf women and children, and the first service of its kind in the UK. We have been established around 18 months and our current funding is...

» Healthier Life for You blog

Healthier LIfe 4 You is a community organisation not for profit with charitable aims. We aim to promote Health and Wellbeing to local people in the community (Families, Children & Young people). As well as running Health workshops, we use Dance, Art & Craft and Leisure activities to enable service users to achieve emotional and Physical wellbeing...

» Public Health Training Service - RBKC

The Royal Borough can help your business. We offer award-winning training on Food Safety and Health and Safety. We also offer Environmental Principles training, Personal Licence Holders training and Customer Service Training...

» FGM (Female Genital Mutilation) Service

West London African Women's service - Community support and information...

» Independent Domestic Violence Advisory Service at ADVANCE

ADVANCE is a specialist domestic violence crisis intervention service. We support women who are assessed as being high or very high risk of continued domestic and sexual abuse and those at risk of being killed...

» Counselling Directory - search for a counsellor or psychotherapist near you

Counselling Directory was set up as a free, confidential service to encourage those in distress to seek help. Visitors can read about different areas of distress, view useful articles written by counsellors and refine their...

» GO4mental health

A website/ directory for mental health service users in Westminster...

» North London Rape Crisis Service

North London Rape Crisis offers free, confidential counselling, advocacy and holistic therapies to women aged 14 and over who live, work or study in Islington, Camden, Westminster, Barnet, Enfield, Kensington and Chelsea and Haringey...

» Health Trainers

Health Trainers provide free one-to-one support, motivation and advice to borough residents (from Westminster, Kensington & Chelsea or Hammersmith & Fulham) over 18 who want to improve their health and wellbeing...

» Women's Wellbeing, Patient Empowerment and Mental Health & Wellbeing projects at Mosaic Community Trust

The Mosaic Community Trust’s Women’s Well-Being Project seeks to empower women who are socially disadvantaged. The Patient Empowerment and Engagement project aims to raise awareness in the local community on the availability and effective use primary care health services...

» Befriending for Asian Women at Henna

Henna’s befriender-workers will pay regular weekly or monthly visits to some of the most vulnerable ladies in the community. These visits could be to those who were members of Henna in the past and have been restricted...

» Substance misuse services - NEW three borough service

Turning Point and Blenheim have been commissioned to provide the new substance misuse service in Westminser, RBKC, and Hammersmith & Fulham. This service is named the Recovery & Wellbeing network and will transform the way that drug and alcohol services are provided locally...

» Help for your Family with Home-Start (Westminster)

We support ANY family in Westminster who needs us, providing there is at least 1 child under 5. Rich or poor, settled or transient.Our trained volunteers help to give encouragement and support to change the pattern of troubled lives...

» NHS videos aimed at newly arrived migrants in various languages

Here are a series of short films on how to use the NHS aimed at newly arrived migrants produced by the Black Health Agency. The film is available in English, Arabic, Cantonese, Farsi/Dari, French, Kurdish, Mandarin, Polish, Somali, Sylheti and Urdu...

» Foot and Toenail Care Service in Westminster

Having Problems Managing your Nail Care??? Apply for Westminster’s new Basic Foot Care Service now!...

» LIVING WELL - Wellbeing services

Living Well offers a wide range of high-quality health related services aimed at providing people with the skills they need to get the most out of life. Services include HIV service, Youth service and Community support service...

» Dementia Adviser Service in Westminster

The Westminster Dementia Adviser service provides advice, information and guidance to those who have received a diagnosis of dementia, as well as their families and supporters. As well as working in partnership with NHS...

» Healthworks

HEALTHWORKS√ offers a range of services to help the residents of Kensington and Chelsea, Hammersmith and Fulham, Westminster and surrounding boroughs

» South Westminster Centre for Health

Provides community and specialist dental services, district nursing, nutrition and dietetics, diabetes and podiatry (foot health) services, Speech and language therapy for children...

» Fit for Work Service in Kensington & Chelsea now expanding to Westminster and Hammermith & Fulham

Fit for Work Service in Kensington & Chelsea now expanding to Westminster and Hammermith & Fulham

» Jobs in Mind

Jobs in Mind, a mental health charity whose varied services provide specialist support and advice around problems at work, training and education. Our mission is to understand, support and enable the recovery of those affected by mental health problems...

» Health Centre for walk-in (unregistered) patients

The Halfpenny Steps Health Centre provides health services for registered and walk-in patients. It is staffed with a team of GPs, nurses and other healthcare professionals to deliver a high quality, continuous service...

» Improving Access to Psychological Therapies (IAPT) - Westminster service

STRESSED, ANXIOUS, DEPRESSED? If you are finding it difficult to cope with feelings of anxiety or depression, we can offer quick and easy access to help and support...

» Employers: Fit for Work Service Leaflet

If you have employees off work sick or struggling with health problems you can refer them to Fit for Work Service at no cost to your business...

» Housing Factsheet Library

Some housing factsheets on key housing issues. The fact sheets provide a very basic summary of the issue, the possible actions you can take, and who to contact for further information...

» Women's Therapy Centre

The Women's Therapy Centre has been offering individual and group psychotherapy to women since 1976. Its access policy ensures that psychotherapy is available to all women, regardless of sexual orientation, disability, cultural or social...

» Arabic Women’s Project at Al-Hasaniya, North Kensington

Based in North Kensington we offer advice and support in health and welfare of Arabic speaking women. We have a Domestic Violence project and also a children and families mental health project as well as many other...

» Get Active! - Affordable activities for all abilities and ages at the Beethoven Centre

See details below for affordable activities for all abilities and ages available at the Beethoven Centre...

» Breathe Easy Support Group

DO YOU LIVE IN PIMLICO AND SUFFER FROM A BREATHING PROBLEM? BREATHE EASY PADDINGTON is your Westminster patient support group, for anyone affected by a lung condition. We offer mutual support, information...

» Dual Diagnosis User Involvement Project [Westminster]

Who? The project is for adults with dual diagnosis mental health and learning disabilities living in Westminster. These are the only criteria for taking part; we aim for the project to be inclusive. It is run by The Advocacy...

» Helpline for Maternity Services

The maternity helpline provides direct access to clinical support and advice to women and their families, irrespective of whether you are a patient of Imperial College Healthcare NHS Trust, a visitor to the area or simply require information and support.

» Westminster Wellbeing - Free NHS service promoting Health and Wellbeing

Westminster Wellbeing is a free NHS service promoting health and wellbeing within communities and organisations in Westminster. We provide a range of services which include training and workshops for community organisations...

» Maternity Action Advice Line

Maternity Action’s Advice Line offers free confidential telephone support. We will listen to you and try to understand all the issues you are facing. We will then provide you with information that is relevant to you and your situation...

» Jobs/Volunteering